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Wasisdi Gunawan Wasisdi Gunawan
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AccomodaUve esotropia combined-type. A case report Wasisdi Gunawan, Wasisdi Gunawan
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 28, No 03 (1996)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (83.963 KB)

Abstract

A 10 year old girl suffering from esotropia for distant vision since she was 4 years old has been reported. Distant correction of S+3 to S + 4 dioptries resulted in orthophoric eye whereas esotropia still developed during the close work. By adding S+3 dioptries for close work this esotropia disappeared. Until now the patient has been using bifocals with comfort. Accommodative esotropia is a type of esotropia accommodative factor. This condition can be caused by hypermetropic refractive anomaly alone so that it is called refractive accommodative esotropia. Consequently corrective measure of underlying refractive errors will correct the eye deviation. Meanwhile esotropia that manifests during the accommodation alone, such as In close work and not due to refractive error is called non refractive accommodative esotropia. This type of esotropla is due to a higher AC/A ratio. Accommodative esotropia combined type is a combination of these two types of esotropia mentioned above. In this type, esotropia still occurs in close work (accommodation) although its refractive anomaly has been corrected. In this case, addition of positive lens 2-3 dioptries for close work (near vision) will cure this accommodative esotropia. The patient needs a bifocals.Key words : accommodative esotropia - non accommodative esotropia - AC/A ratio - distant correction - addition for close work.
Operasi katarak traumatika dengan pemasangan lensa intraokuli pada anak Wasisdi Gunawan, Wasisdi Gunawan
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 28, No 02 (1996)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (89.008 KB)

Abstract

In traumatic cataract extraction it is often difficult to assess the result of the operation and the recovery of the visual acuity because there are many complications and recurrence of the previous uveitis.The purpose of this study is to evaluate the visual function improvement and many influencing factors after extraction of traumatic cataract with intraocular lens implantations in children.Eleven cases of posterior chamber intraocular lens implantations in cataract traumatic children were reported in Dr Sardjito General Hospital between 1990 and 1995.There were 10 boys and 1 girl. The mean age was 8 years ranging from 3 years to 14 years. The visual acuity improvement occurred in 10 cases and in 1 case the visual acuity remained stable. Five cases had post traumatic uveitis that reccurred after cataract extractions and IOL implantation and 1 patient showed retinal cicatrization identified after the operation.Key words: traumatic cataract - traumatic uveitis - intra ocular lens implantation - retinal cicatrization - visual acuity recovery
AccomodaUve esotropia combined-type. A case report Wasisdi Gunawan Wasisdi Gunawan
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 28, No 03 (1996)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (83.963 KB)

Abstract

A 10 year old girl suffering from esotropia for distant vision since she was 4 years old has been reported. Distant correction of S+3 to S + 4 dioptries resulted in orthophoric eye whereas esotropia still developed during the close work. By adding S+3 dioptries for close work this esotropia disappeared. Until now the patient has been using bifocals with comfort. Accommodative esotropia is a type of esotropia accommodative factor. This condition can be caused by hypermetropic refractive anomaly alone so that it is called refractive accommodative esotropia. Consequently corrective measure of underlying refractive errors will correct the eye deviation. Meanwhile esotropia that manifests during the accommodation alone, such as In close work and not due to refractive error is called non refractive accommodative esotropia. This type of esotropla is due to a higher AC/A ratio. Accommodative esotropia combined type is a combination of these two types of esotropia mentioned above. In this type, esotropia still occurs in close work (accommodation) although its refractive anomaly has been corrected. In this case, addition of positive lens 2-3 dioptries for close work (near vision) will cure this accommodative esotropia. The patient needs a bifocals.Key words : accommodative esotropia - non accommodative esotropia - AC/A ratio - distant correction - addition for close work.
Operasi katarak traumatika dengan pemasangan lensa intraokuli pada anak Wasisdi Gunawan Wasisdi Gunawan
Journal of the Medical Sciences (Berkala Ilmu Kedokteran) Vol 28, No 02 (1996)
Publisher : Journal of the Medical Sciences (Berkala Ilmu Kedokteran)

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (89.008 KB)

Abstract

In traumatic cataract extraction it is often difficult to assess the result of the operation and the recovery of the visual acuity because there are many complications and recurrence of the previous uveitis.The purpose of this study is to evaluate the visual function improvement and many influencing factors after extraction of traumatic cataract with intraocular lens implantations in children.Eleven cases of posterior chamber intraocular lens implantations in cataract traumatic children were reported in Dr Sardjito General Hospital between 1990 and 1995.There were 10 boys and 1 girl. The mean age was 8 years ranging from 3 years to 14 years. The visual acuity improvement occurred in 10 cases and in 1 case the visual acuity remained stable. Five cases had post traumatic uveitis that reccurred after cataract extractions and IOL implantation and 1 patient showed retinal cicatrization identified after the operation.Key words: traumatic cataract - traumatic uveitis - intra ocular lens implantation - retinal cicatrization - visual acuity recovery
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